Even patients get the blues: 4 ways to counter patient burnout
By: Roy Edroso
A recent report on “patient burnout” is a reminder that doctors aren’t the only ones who get discouraged by the health care system, and that you can find ways to make the patient’s experience with your practice a happier one.
Telehealth after May 11 is possible, but keep track of the waivers’ expiration dates
By: Julia Kyles, CPC
Check the expiration date for each COVID-19 waiver you use to provide telehealth as your practice prepares for the end of the COVID-19 public health emergency (PHE).
Tough Medicare Advantage risk adjustment, audits coming; pay impact seen
By: Roy Edroso
Proposed adjustments to the codes used to risk-adjust Medicare Advantage rates have stirred discontent among physician groups as well as insurers, suggesting that these groups expect lower reimbursement as a result.
Part B News Features
Ask a Part B News Expert
Question: I recently saw a Department of Justice settlement in North Carolina that seemed to be entirely based on a pattern of upcoding E/M. I didn’t know federal prosecutors did that! Is it com... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
Medical groups posted some big numbers in their use of modifier 25 (Significant, separately identifiable E/M service), reporting over 65 million claims and clearing $5 billion in payments in 2021, the... More
Ask a Part B News Expert
Question: I recently saw a Department of Justice settlement in North Carolina that seemed to be entirely based on a pattern of upcoding E/M. I didn’t know federal prosecutors did that! Is it com... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
Medical groups posted some big numbers in their use of modifier 25 (Significant, separately identifiable E/M service), reporting over 65 million claims and clearing $5 billion in payments in 2021, the... More
choose your feature view ► Ask Part B News & NPP Report Benchmark of the Week & Ask Part B News NPP Report & Benchmark of the Week
Part B News Blog
Mar 21, 2023
Health tech honcho: try IT fixes for patient burnout
by: Roy Edroso
Mar 17, 2023
Practice tax tips: Lawyer/CPA on bonus depreciation
by: Roy Edroso
Mar 14, 2023
Medicare trims 15 minutes from prolonged hospital visit times
by: Julia Kyles, CPC
Tools
Use new E/M coding worksheet for level-based E/M encounters
DecisionHealth has revised its tool for office/other outpatient E/M visits (99202-99215) to include encounters performed in the inpatient or observation (99221-99223 and 99231-99236), emergency department (99281-99285), nursing facility (99304-99310) and home or residence (99341-99350) settings and consults (99242-99245 and 99252-99255).
New and revised codes for '23: Relative value unit rundown
Take a look at the new, revised and potentially misvalued services that CMS identified in the proposed 2023 Medicare physician fee schedule. The downloadable document (xls) provides current and projected work relative value units (RVU) for each service, allowing you to compare RVU changes between 2022 and 2023.
See more...
Benchmark of the Week
Modifier 25 stays down in ’21, yet practices reap fee gains
Medical groups posted some big numbers in their use of modifier 25 (Significant, separately identifiable E/M service), reporting over 65 million claims and clearing $5 billion in payments in 2021, the latest year of available data. While payments grew, the usage numbers remained down from pre-COVID highs just two years earlier.
Major code revisions did not hamper psychological testing
Claims for psychological, neuropsychological and neurobehavioral status testing increased and denials fell after the AMA made major revisions to the code sets in 2019, according to analysis of Medicare Part B data.
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Learning Opportunities
WEBINAR
Webinar Modifier 25: Tested Strategies to Ensure Your Practice Bills Compliantly—and Gets Reimbursed
WEBINAR
Webinar 2023 CPT Hernia Repair: Peeking Through Code Changes
See more...

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